Explore Our Most Popular Solutions:
Pharmacy claims adjudication is complex, and reimbursement is constantly changing. Veridikal’s pre and post edit (PPE) solution, DetectRx™, is a powerful solution that helps maximize reimbursement, improve productivity, shorten collections windows, reduce resubmissions, increase profits, and provides audit safeguards. Unlike legacy Pre/Post Editing (PPE) systems that have 5-10 basic rules, Veridikal’s Next Generation platform has hundreds of advanced business rules and edits that may be tailored to meet the needs of specific pharmacy settings.
Key Features and Benefits of the DetectRx™ Program:
• Helps ensure maximum reimbursement is obtained on every claim in real-time
•Protects the pharmacy’s revenue up front (Pre) instead of chasing after lost revenue from the payers
• Reduces claim submission errors and resubmissions
• Improves automation, decision-making, and productivity in the pharmacy
• Increases pharmacy’s workflow efficiency Audit protection program that identifies specific areas of exposure to drive compliance and reduce potential take-back audits
• Next generation reporting with meaningful insights, and clearly defined actionable items
• Comprehensive program staff training that is available as needed and always complimentary
• Free client resource library with access to program tools and industry best practice guides
